THE ACUTE OUTCOME OF TIBIOPERONEAL VESSEL ANGIOPLASTY IN 417 CASES WITH CLAUDICATION AND CRITICAL LIMB ISCHEMIA

A non-randomized, consecutive series of 417 first procedure tibioperon eal vessel angioplasty (TPVA) cases were analyzed to determine if angi oplasty were an alternative revascularization technique for critical l imb ischemia (CLI) and claudicants patients. TPVA was performed on 312 patients (70% male; age 66 +/- 10 years) with success attained in 406 /417 cases (96%) of 605/657 lesions (92%): [461/469 stenoses (98%) and 144/188 occlusions (77%) (star)(P < 0.05)]. Claudication and CLI pati ents had similar rates of success. In claudication patients clinical s uccess was 130/133 (98%); lesion success was 197/208 (92%); stenosis w as 148/151 (98%); and occlusion was 49/57 (86%), In CLI patients clini cal success was 270/284 (95%); lesion success was 408/449 (91%); steno sis was 313/318 (98%); and occlusion was 95/131 (73%). We conclude tha t TPVA is an effective revascularization technique for obstructed tibi operoneal vessels, with excellent success in stenotic (98%) and reason able results in occluded vessels (77%). These data demonstrate TPVA ef fectiveness in CLI patients and in carefully selected claudicants with appropriate indications (severe, lifestyle limiting claudication) and readily amenable anatomy, and TPVA for CLI patients appears to be an effective revascularization technique. Cathet, Cardiovasc. Diagn. 45:2 51-256, 1998. (C) 1998 Wiley-Liss, Inc.